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2020: A systematic review confirmed ALCAR + L-carnitine significantly improved total sperm motility, progressive motility, and morphology at doses of at least 3 g/day, but did not affect sperm concentration or clinical pregnancy rates [5][48]

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It can be due to some perioperative penile trauma, neurogenic consequences, or local release of cytokines

Additionally, AR may play a role in the impact of exercise on metabolism by regulating other key enzymes, such as GLUT4 (152), lipoprotein lipase (LPL), and ATGL (153), as previous evidence suggests that both exercise and AR can regulate these enzymes (85)

None of the remaining authors had financial or other interests in connection to the study